Provider Demographics
NPI:1316236037
Name:SIGAFOOSE CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:SIGAFOOSE CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCELFO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-394-2444
Mailing Address - Street 1:1668 LINCOLN HWY E
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2662
Mailing Address - Country:US
Mailing Address - Phone:717-394-2444
Mailing Address - Fax:717-394-2411
Practice Address - Street 1:1668 LINCOLN HWY E
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2662
Practice Address - Country:US
Practice Address - Phone:717-394-2444
Practice Address - Fax:717-394-2411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010403111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty